Individual
MIRANDA LEIGH BYRNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
26 CHESTNUT ST, WAKEFIELD, MA 01880-2349
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2294814
MA
363LA2200X
Adult Health Nurse Practitioner
RN2294814
MA
363LG0600X
Gerontology Nurse Practitioner
RN2294814
MA
Other
Enumeration date
02/21/2023
Last updated
03/03/2023
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